Impact of Frailty and Comorbidities on Surgical Outcomes and Complications in Adult Spinal Disorders

Spine
Mitsuru YagiKota Watanabe

Abstract

Retrospective review of surgically treated 481 adult patients with spinal disorders. The aim of this study was to elucidate the effect of frailty and comorbidities on postoperative health-related quality of life (HRQoL) and complication rates. Elective surgeries for spinal disorders not only improve clinical outcomes but also have high complication rates. We retrospectively reviewed the results of consecutive elective spine surgeries for 156 adult spinal deformities (ASDs: 65 ± 9 years), 152 degenerative spondylolisthesis (DS: 64 ± 10 years), or 173 lumbar spinal canal stenosis (LSCS: 71 ± 9 years) with follow-up of at least 2 years. Modified Frailty Index (mFI) and Charlson Comorbidity Index (CCI) were determined from baseline demographics. We compared the prevalence and the influence of mFI and CCI on postoperative outcomes and complication rates. The mFI and CCI were significantly worse in ASD than in others (mFI: ASD 0.09 ± 0.12, DS 0.06 ± 0.06, LSCS 0.04 ± 0.05, P < 0.01. CCI: ASD 2.1 ± 1.6, DS 1.4 ± 0.7, LSCS 1.6 ± 0.9, P < 0.01). Postoperative HRQoL deteriorated as mFI worsened in ASD (nofrail: Oswestry Disability Index [ODI] 26 ± 11, Scoliosis Research Society Questionnaire [SRS] 3.7 ± 0.7; prefrail: ODI 32 ± 12, SRS 3....Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Sep 17, 2005·Spine·Steven D GlassmanFrank Schwab
Jun 22, 2006·BMC Musculoskeletal Disorders·Sohail K MirzaRobert Goodkin
Feb 22, 2008·The New England Journal of Medicine·James N WeinsteinUNKNOWN SPORT Investigators
May 29, 2013·Annals of Vascular Surgery·Joseph KaramIlan Rubinfeld
Aug 21, 2013·JAMA Otolaryngology-- Head & Neck Surgery·Peter AdamsIlan Rubinfeld
Oct 30, 2013·Clinical Orthopaedics and Related Research·Kushal V PatelMatthew L Davis
Jan 10, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·F SteigerA F Mannion
Feb 15, 2015·The Spine Journal : Official Journal of the North American Spine Society·Shunsuke SatoTakashi Asazuma
Apr 14, 2016·The New England Journal of Medicine·Peter FörsthBengt Sandén
Apr 14, 2016·The New England Journal of Medicine·Zoher GhogawalaEdward C Benzel
May 7, 2016·Journal of Neurosurgery. Spine·Rushna AliIlan Rubinfeld
May 20, 2016·The Journal of Bone and Joint Surgery. American Volume·John K RatliffLu Tian
Jul 5, 2016·The Spine Journal : Official Journal of the North American Spine Society·Alana M FlexmanChristopher J Ryerson
Dec 7, 2016·Spine·Mitsuru YagiTakashi Asazuma
Apr 22, 2017·Journal of Neurosurgery. Spine·Anand VeeravaguJohn K Ratliff
Jul 16, 2017·The Spine Journal : Official Journal of the North American Spine Society·Raphaële Charest-MorinAlana M Flexman

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Citations

Jan 19, 2020·Neurosurgical Review·Julia PazniokasChristian A Bowers
Nov 11, 2019·Clinical Neurology and Neurosurgery·Matthew K McIntyreChristian A Bowers
Feb 7, 2021·The Spine Journal : Official Journal of the North American Spine Society·Vivien ChanMichael G Fehlings
Mar 7, 2020·The International Journal of Neuroscience·Abhinandan Reddy MallepallyHarvinder Singh Chhabra
Jun 2, 2020·Archives of Gerontology and Geriatrics·Sanae HironakaYasuaki Kakinoki
Mar 27, 2021·Global Spine Journal·Carl LaverdièreMichael H Weber
Oct 26, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Avery E BrownPeter G Passias
Apr 1, 2021·Journal of Orthopaedic Surgery and Research·Kensuke ShinonaraKazuhiro Takeuchi
May 6, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Shane ShahrestaniJeffrey C Wang
Oct 9, 2021·Journal of Clinical Nursing·Inthira RoopsawangBasia Belza

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